The solution of erection problem in men is based on the principle of step therapy. After the first evaluation of the patients, the necessary tests and shots, it is first requested to make changes in the lifestyle.
Reducing smoking and alcohol use in lifestyle changes, regulating metabolism by doing regular sports and exercise, activating antioxidant mechanisms by diet and healthy nutrition, ensuring regular and adequate sleep, losing weight, controlling accompanying diseases, avoiding stress factors as much as possible. required.
Despite the fulfillment of these changes, if there is no obstacle in patients with erectile dysfunction, PDE-5 inhibitor (Tadalafil, Sildenafil, udenafil, Vardenafil, Avanafil) treatment will be started. These drugs must be used regularly for a certain period of time.
If there is also testosterone deficiency other than PDE-5 inhibitors, testosterone replacement therapy will be given first to correct this problem. It is known that this treatment will contribute to all the structural arrangements of the penis.
Patients who do not benefit from these drug treatments are benefited from low-intensity shock wave therapy (Li-ESWT), vacuum erection devices, and injection treatments into the penis.
ESWT treatment provides significant improvements in moderate erectile dysfunction by contributing to the structural new vessel development of the penis and increasing growth factors by applying ultrasound waves to the erectile bodies of the penis at the determined intensity and frequency.
Vacuum erection devices are devices that provide erection in the penis with negative pressure. These treatments are used for penile rehabilitation, especially in cases where nerve conduction is impaired after pelvic surgery. It is a type of treatment that is difficult to adapt to patients due to its difficulty in use.
By injection into the penis (such as alprostadil, papaverine), smooth muscle can be relaxed and an erection can be achieved. This needle application can also be used for testing purposes and for therapeutic purposes by educating the patients. The inconvenience of self-injection, the complication of priapism that may develop especially after papaverine, and the fact that it causes recurrent penile structural dysfunction are the main disadvantages of this treatment.
Patients who do not benefit from all these treatments will need to insert a prosthesis into the penis (happiness stick). The flexible or inflatable prosthesis material is inserted into the erectile bodies of the penis by surgical technique. Patients learn how to enter into a relationship by providing training after the surgery. An externally visible prosthesis is not placed. The cost is its disadvantage. It is the type of treatment with the most ideal and highest satisfaction in erectile dysfunction. Satisfaction is around 90-96%.